Glen Arden Inc - Goshen Nursing Home

General Information

UPDATE
Federal Provider Number
335802
Provider Name
GLEN ARDEN INC
Provider Address
46 HARRIMAN DRIVE
GOSHEN, NY 10924
Provider Phone Number
8452917800
Provider SSA County
540
Provider County Name
Orange
Ownership Type
Non profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
35
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLEN ARDEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-11-26
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24857
Reported LPN Staffing Hours per Resident per Day
0.42143
Reported RN Staffing Hours per Resident per Day
1.09857
Reported Licensed Staffing Hours per Resident per Day
1.52000
Reported Total Nurse Staffing Hours per Resident per Day
3.76857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22000
Expected CNA Staffing Hours per Resident per Day
2.46994
Expected LPN Staffing Hours per Resident per Day
0.63880
Expected RN Staffing Hours per Resident per Day
1.12144
Expected Total Nurse Staffing Hours per Resident per Day
4.23018
Adjusted CNA Staffing Hours per Resident per Day
2.23378
Adjusted LPN Staffing Hours per Resident per Day
0.54757
Adjusted RN Staffing Hours per Resident per Day
0.73196
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59103
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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